Emergency contraception: Difference between revisions
Neil.m.young (talk | contribs) (Text replacement - "* " to "*") |
Neil.m.young (talk | contribs) (Text replacement - "5 mg" to "5mg") |
||
| Line 11: | Line 11: | ||
===FDA approved regimens=== | ===FDA approved regimens=== | ||
*Plan B (marketed specifically for emergency contraception) - 1 pill (0. | *Plan B (marketed specifically for emergency contraception) - 1 pill (0.75mg levonorgestrel) per dose | ||
**Plan B levonorgestrel 0.75mg po q12h x2 | **Plan B levonorgestrel 0.75mg po q12h x2 | ||
| Line 31: | Line 31: | ||
===FDA approved regimens=== | ===FDA approved regimens=== | ||
*Ovral, Ogestrel - 2 pills (100 ug ethiny estradiol/0. | *Ovral, Ogestrel - 2 pills (100 ug ethiny estradiol/0.5mg levonorgestrel) per dose; repeat in 12h | ||
*Alesse, Aviane, Levlite - 5 pills (100 ug ethiny estradiol/0. | *Alesse, Aviane, Levlite - 5 pills (100 ug ethiny estradiol/0.5mg levonorgestrel) per dose; repeat in 12h | ||
*Levlen, Levora, Lo/Ovral, Low-Ogestrel - 4 pills (120 ug ethiny estradiol/0.6 mg levonorgestrel) per dose; repeat in 12h | *Levlen, Levora, Lo/Ovral, Low-Ogestrel - 4 pills (120 ug ethiny estradiol/0.6 mg levonorgestrel) per dose; repeat in 12h | ||
*Triphasil, Tri-Levlen, Trivora - 4 pills (120 ug ethiny estradiol/0. | *Triphasil, Tri-Levlen, Trivora - 4 pills (120 ug ethiny estradiol/0.5mg levonorgestrel) per dose; repeat in 12h | ||
==See Also== | ==See Also== | ||
Revision as of 07:56, 19 July 2016
Progestin-Only Regimen
General
- First dose within 48 hours after unprotected intercourse followed by second dose 12 hours later
- may take both at once
- Relative risk reduction of pregnancy = 89% (1% with vs 8% without)
Adverse Reactions
- Nausea (23%)
- Vomiting (6%)
- No teratogenisis
FDA approved regimens
- Plan B (marketed specifically for emergency contraception) - 1 pill (0.75mg levonorgestrel) per dose
- Plan B levonorgestrel 0.75mg po q12h x2
Yuzpe Regimen (Combination OCPs)
General
- First dose within 72 hours after unprotected intercourse followed by second dose 12 hours later
- May be given up to 120 hours later (but efficacy reduced)
- Reduces risk of pregnancy by 75% (2% with vs 8% without)
Adverse Reactions
- Nausea (50%)
- Vomiting (20%)
Safety
- No teratogenic effect
Contraindications
- Pregnancy
FDA approved regimens
- Ovral, Ogestrel - 2 pills (100 ug ethiny estradiol/0.5mg levonorgestrel) per dose; repeat in 12h
- Alesse, Aviane, Levlite - 5 pills (100 ug ethiny estradiol/0.5mg levonorgestrel) per dose; repeat in 12h
- Levlen, Levora, Lo/Ovral, Low-Ogestrel - 4 pills (120 ug ethiny estradiol/0.6 mg levonorgestrel) per dose; repeat in 12h
- Triphasil, Tri-Levlen, Trivora - 4 pills (120 ug ethiny estradiol/0.5mg levonorgestrel) per dose; repeat in 12h